chapter 16

Question 1

how can you control bleeding on a patient with epistaxis

Answer 1

apply steady or pinch both nostrils for 10-15 minutes and apply ice compresses over the nose at the same time - to control bleeding

Question 2

what is the best position for patient with epistasis

Answer 2

keep the victims head tilted slightly forward.

Question 3

a patient who is bleeding profusely is at risk for what type of shock

Answer 3

hypovolemic shock

Question 4

what are the signs of hypovolemic shock

Answer 4

decrease in blood pressure drops and increase in pulse, but pulse is weak and thready

Question 5

a patient who is stung by a bee will experience what type of shock and what are the symptoms

Answer 5

anaphylactic shock

symtoms are- urticarial, pruritus, wheezing, hypotension and tachycardia

Question 6

what are the techniques used when applying a bandage

Answer 6

• the dressing should cover the entire wound
• roll of gauze bandage should be applied uniformly - to ensure even pressure.
• gauze bandages are started at the point of dressing or at the part of the limb with the smallest circumference.
• ** tips of fingers and toes should be left exposed- to check for circulation while applying a bandage

Question 7

when a patient is having difficulty breathing what is the first action by the nurse

Answer 7

ASSESS by- asking the victim – are you choking?

Question 8

how are you protected under the good Samaritan laws

Answer 8

follow a reasonable and prudent course of action

Question 9

when is CPR terminated

Answer 9

CPR is terminated — wen paramedics arrives or if patient has a pulse

Question 10

what is a contusion and what is the position for this patient when the patient shows signs of shock

Answer 10

contusion (see edema and discoloration) occur, caused by a blow and characterized by edema, discoloration and pain.
-FLAT on the back.

Question 11

what is the priority in an emergency situation

Answer 11

circulation, airway, breathing

Question 12

what is a circulatory shock and what are the signs

Answer 12

caused by bleeding – signs - decrease in BP, increase in pulse and respirations

Question 13

what are the nursing interventions for heat stroke

Answer 13

cool the victim– with a fan and use cold packs

Question 14

what should the nurse do when the patient starts to shiver because of the cold packs?

Answer 14

remove ice packs and fan

Question 15

how should the nurse care for a puncture wound

Answer 15

• • the nurse should immobilize the object with dressings and tape.
• • removing can cause further injury to tissues

Question 16

where would you check for circulatory impairment, when patient has a bandage

Answer 16

distal to the bandage

Question 17

what is the order of responding to an emergency

Answer 17

• • 1. assess- determine responsiveness - gently shake and lousy ask are you okay?
• 2. Call for help
• 3- determine breathlessness
• 4. detrmine pulseness
• 5. begin chest compressions

Question 18

if the patient is not breathing, no pulse and unresponsive - what is your priority after you call for assistance?

Answer 18

begin chest compression

Question 19

how do you open the air way of a patient with a suspected cervical or neck injury

Answer 19

jaw thrust maneuver

Question 20

how do you care for a fracture

Answer 20

immobilize the fractured dexterity by splinting the bone
monitor circulation - color, temperature, movement,, pulses, cappilay refill.
-apply ice or cold packs to reduce edema

Question 21

what is a priority intervention, when a patient presents with edema of the fractured arm

Answer 21

monitor circulation - color, temperature, movement, pulses, capillary refill — before applying ice

Question 22

how do you care for a client with laceration of the index finger using indirect pressure

Answer 22

wash lacerations with antiseptic solution

apply indirect pressure to radial artery

Question 23

how do you care for a patient with a sucking wound to the chest?

Answer 23

1. cover the wound with airtight dressing
2. monitor for signs of pneumbothroax (collapse of the lungs)
   because of air going into the pleural space- which is increased respiratory rate.
   normally there is negative pressure in the pleural space. Air or blood entering the pleural space will cause an increase in pressure which causes the lungs to collapse.
   if you notice signs of pneumothorax - leave one side of the dressing untapped– tape only 3 sides.
3. liquids withheld– because of aspiration.